Individual provider Active NPI

Alicia Clare Hurford, PSYD

  • Clinical Child & Adolescent Psychologist
  • King of Prussia, PA
National Provider Identifier
1568038685
Registry record updated May 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
PS019227 Issued in PA
Practice address
491 Allendale Rd Ste 322
King of Prussia, PA 19406-1432
Phone
(610) 544-2110
NPI assigned
May 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PS019227 PA
Clinical Psychologist 103TC0700X PS019227 PA
Family Psychologist 103TF0000X PS019227 PA
Group Psychotherapy Psychologist 103TP2701X PS019227 PA
Clinical Child & Adolescent Psychologist 103TC2200X PS019227 PA Primary

Addresses

Primary practice location

491 Allendale Rd Ste 322
King of Prussia, PA 19406-1432

Mailing address

185 Wentworth LN
Bryn Mawr, PA 19010-1211
Phone (609) 276-3506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210610001172 PA Practitioner - Clinical Psychologist 4284034448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1999 Sproul Rd
Suite 23
Broomall, PA 19008-3557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS019227PAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jul 21, 2024 Accepting new patients
Hopewell Psychology LLC CurrentSince Feb 1, 2026 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. CurrentSince Jul 21, 2024 Accepting new patients
Springfield Psychological PC CurrentSince Jun 8, 2021 Accepting new patients

Locations

1999 Sproul Rd
Ste 23
Broomall, PA 19008
Phone (484) 731-0000

491 Allendale Rd
Ste 322
Kng of Prussa, PA 19406
Phone (215) 805-4092

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

7 Neshaminy Interplex Dr
Trevose, PA 19053

7 Neshaminy Interplex Dr
Ste 411
Trevose, PA 19053

560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601

Interoperability endpoints

  • Direct secure messaging: alicia.hurford.1@28623.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622246400000",
    "number": "1568038685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WENTWORTH LN",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101211",
            "telephone_number": "609-276-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD STE 322",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061432",
            "telephone_number": "610-544-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURFORD",
        "first_name": "ALICIA",
        "middle_name": "CLARE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-29",
        "last_updated": "2021-05-29",
        "certification_date": "2021-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS019227",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019227",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PA",
            "license": "PS019227",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "PA",
            "license": "PS019227",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS019227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.